| Organization Name: | PROVIDENCE HEATH & SERVICES - WASHINGTON |
| NPI Number: | 1881758472 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN NURMI (DIR REVENUE CYCLE MGMT SWSA) |
| Mailing Address: | 24070 Ne Highway 3 Belfair |
| State: | WA US |
| Postal Code: | 98528 |
| Phone Number: | 3602770523 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 09/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 276400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Rehabilitation, Substance Use Disorder Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |